HomeMy WebLinkAbout06-15-05
CITATION
Office of the Register of Wills
Cumberland County, Pennsylvania
IN RE: Estate of James A. Zeigler, Deceased
No. 21-2005-0534
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
TO:
Jesse A. Zeigler, c/o His Legal Guardian
Jennifer A. Zeigler
GREETINGS:
AND NOW this 15th Day of June, 2005, the Register of Wills of Cumberland County issues
this citation ordering you to file a response in her office within 20 days from the date of service,
herein to show cause why the Petition for Grant of Letter of Tracy L. Zeigler for the Estate of
James A. Zeigler, deceased, should not be granted and Letters of Administration be issued to
Tracy L. Zeigler.
Jesse A. Zeigler
c/o His Legal Guardian
6309 Stanford Court
Mechanicsburg P A 17050
{....'..;
Jennifer A. Zeigler
1362-A Mount Vernon Avenue
Williamsburg VA 23185
-' ~"i
John F. King, Esquire
600 N. Second Street, 5th Floor
Harrisburg P A 17101
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Cumberland
Register of Wills of ~ County I Pennsylvania
PETITION FOR GRANT OF LETTERS
"
Estate of
JaIreS A. Zeigler
No.
also known as
, Deceased
Social Security No.
193-52-9264
l'et1\IOIwr(s). who is/me 18 year. 01 age 01 olde'. applyhesl 101
(COMPLETE "A" OR "B" BELOW:)
Q
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut
Decedent. dated and codicil{sl dated
named in the Last Will of the
Stale lelevRflt circumSHtnc.es. e.g., IflnUnCialion, death oj executor, t'tc
Except as iuilows, Decedent did not marry. was not divorced, and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incompetent:
~
B. Grant of Letters of Administration
\...I.It <1 b" C,I.8 pen(j'!l)te lit,., .It..nnlt.' nhg"nllft, ,11"".'1" rT\lIlOfllnt,,)
Petltioner(sl after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse
(if any) and heirs:
Name
Relationship
ReSidence
C"-)
("oJ
.,,"'-'
See Attached
1',"',-.,)
........,.-.-
.' ,
6, .~. ~ .~,
Decedent
residence
IN ALL ~. .._. Attach additional sheets I necessary.
C'.
wf1i, domici@~ ,~u death in
at 1395 Letchworth
Cumberland County. Pennsylvanl~L with his/her last family or Wlncloal
Rd., Camp HIll, Lower Allen Thrp., CWIIverland Co., PA 17011 .
(list Slreel, ,.umbel i)lld 'llUOlclpahly}
Decedent. then
47 years of age, died
May 17
. 20~, at 1325 Carlisle Rd., Camp Hill, PA
(LocBtmnl
Decedent at death owned property with estimated values as follows:
(if domiciled in PAl All personal property .......... . . . . . . . . $
(If not domiciled in PAl Personal property in Pennsylvania. . . . . . . . . . . . . . . . . . . $
(If not domiciled in PAl Personal property in County. . . . . . . . . . . . . . . . . . . . . . . . . . $
Value of real estate in Pennsylvania ............................................... $
Real Estate situatedT::a:OI;~;'~:' . '1395' Let'chworth 'Rd: ~. Camp lIilt; 'PA . '110il' . . . . . . . . $
2,000.00
3,UUU.UU
SrOOO.GO
Wherefore, Petltloner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the
appropriate form to the undersigned:
o
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of ~~ CL1JDberland
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed
before me this
13
day of
"\.J~NE . 2005 ~f4 >9 ~Jt,,-,
~illAt1{~Jt~{(
DECREE OF REGISTER
Estate of
JaITBS A. Zeigler
Deceased
No.
also known as
Social Security No:
193-52-9264
Date of Death:
lvfay 17, 2005
AND NOW, , 20 _, in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters 0 Testamentary lXXof Administration
(c.l.n., [111 II C 1 pendente lite. rhllanle alJSenll<J, ,julilllle !1m'OIII;I!(:1
are hereby granted to
Tracy L. Zeigler
in the above estate and that the instrument(s), if any, dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters........................... $
Register of Wills
Short Certificate(s).......... $
Renunciation.................. $
Affidavit ( )................. $
Extra Pages ( )............ $
Codicil.......................... $
JCP Fee........................ $
Inventory & Tax Forms... $
Other............................ $
Attorney:
I.D. No:
Address: 600 N. Second St., 5th Floor
Harrisburg, PA 17101
Telephone: (717) 236-8000
DATE FILED:
TOTAL................ $
RW-7a
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,
.,.
HEIRS OF JAMES A. ZEIGLER:
Name Relationship Address
J esse A. Zeigler Son (minor) 6309 Stanford Court
Mechanicsburg, P A 17050
Jennifer A. Zeigler Daughter (20 years old) l362-A Mount Vernon Ave.
Williamsburg, V A 23185
Darryl K. Finney Brother 340 Walnut Street
Lemoyne, P A 17043
David Zeigler Brother 6100 Ann Street
Harrisburg, P A 17111
John Zeigler Brother 1200 Walnut Street
Harrisburg, PAl 71 03
Kenneth Zeigler Brother 2001 Red Bank Road, Lot # 124
Dover, PA 17315
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11111C;:.:-':()'; 1,'\_\
Thi<., is to certify that the information here given is correctly copied from an original cer~ific~te of death dulr filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records OffIce tor permanent fIlmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
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Local Registrar
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MAY 2 32005
No.
Date
c.....)
144 Rev. 1/91
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
A
Zeigler
DlJE OF 81RTH
(Month, Day, Year)
sex
2. Male
SWE FILE NUMBER
SOCtAL SECURITY NUMBER
3.193-52-9264
ORE OF DEATH (..onth. Day. _)
4. May 17, 2005
. CITY. BOA
BIRTHPLACE (City and
Stale or Foreign Counlry)
UNDER 1 DAY
Hours Mlnutee
=-'1J(
Ie.
DECEDENT'S USUAL OCCUF\l\TION
(~~~~~u~r~r~
ff .ruck driver Rb~nnsy
DECEDENT'S "AILING ADDRESS {SIr.... C<Y/lOwn. Stat.. Zip C_}
Supply
DECEDENT'S
ACTUAL
RESIDENCE
(See instructions
on other side)
~S DECEDENT EVER IN
U.S. ARMED FORCES?
v.. 5l No D
1395 Letchworth Rd
f~amp Hill, PA 17011
FRHER'S NAME (firs!, Middle. Last)
fl. John E. Zei ler III
INFORMANTS NAME (TypeiPrinl)
ARRYL K. FINNEY
"'ETHOD OF DISPOSITION
Burial D Crem8lion lKl Removel from Stal. D
Other (Specify
17a. State
PA
"'ARlTALSWUS._
-.........-.
Ilivon:ed (Spec<y)
ft'livorced
no.K! ......__IoLower
SURVIVING SPOUSE
(If wH, giw maiden name)
12.
l7b. Coun
Cumberland
Old
_nt
liYeina
WMlIhIp?
Allen
IWp.
DATE OF DISPOSITION
(Month. Day, Yeer)
D 2f:1.ay 23,
RSON ACTING AS SUCH
2005
cIIy-".
~pn-O-Lite Crematory
NAME AND ADQRESS OF ~ILJTY
J;1.usseJ.man FH&CS
LICENSE NUMBER
&haefferstown,PA
,
Inc.324 Hummel Ave.
ORE SIGNED
(Month. Oey. \W)
Gunshot to Head
DUE TO (OR AS A CONSEOUENCE OF):
23b. 23c.
WAS CASE REFERRED TO ME~ EXAMlJjERICORONER?
Ves~\Dc.Y NoD
H.
IApproxknate PART U: Othereignlftcanl conditions contrbIIing 10 death, but
: interval between not r.uIIing in the undertytng cauIe giYen In PMT I.
10N8t and dMth
I
i
DATE PRONOUNCED DEAD ~Monlh, Day. Year)
24. 3: 00 .... 25. May 17, 2005
27. PART I: Enter the dIIeasea,lnjuriea Of compficatlona whk:h caused the death. 00 not enter the mode 01 dying, such as cardiac or reapiratofy a<<est, shock 01 heart falk.lre.
UIt only one ca.... on each line.
b.
DUE TO (OR AS A CONSEOUENCE OF):
DUE TO (OR AS A CONSEQUENCE OF):
d.
WERE AUlOPSY FINDINGS
,u,llABLE PRK)R 10
COMPLETION OF CAUSE
OF DEATH?
MANNER OF DEATH
DATE OF INJURY
(Month, Day. Year)
TIME OF IfLJURY
AprX.
INJURY AT WORK?
-
D May 17,2005
D _. .3:00 P.....
o PLACE OF INJUR~ . At home, farm, street, factOf)', office
~ing.81o.(Spec""School Parking Lot
SIGNATURE AND
..... D NoJt<
DESCRIBE HOW INJURY OCCURRED.
Self-inflicted gunshot,
handgun
Nllturel
o
D
]A
Pending Investigation
Hill, PA
..... D No~ Yes D
2". 21b.
CERTIFIER (Check only one)
.CERTIFYINO PHYSICIAN (f-'I, )lsician certifying cause ol death when another physician has pronounced death and completed Item 23)
To the bHt of my knowIedgo1, death occulTed duetothecauaef.).nd m.nner.....tec:I. ................ .....,.............................
No D
Accident
Sutclde
2..
Could not be determined
'MEDlCAL ExAMINEAlCORONER
On the baaIa of examination and/or InYHtlg.llon,ln my opinion, death occurred at the time, d.... and place, and due to the cat..(a) and
m.nner.......ed.........................,....,...........................,...................................... .
31a.
33. REG\~U~r
.-
LA /~Ih' I
Coroner
DATE SlGNED(MonIh. Day. \W)
3fo. fd. May 20,2005
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH
(Item 27) Type or Print Michael L. Norris, Coroner
6375 Basehore Road, Suite #1
~. Mechanicsburg, Pa. 17050
ORE FILED (Monlh. Day. _)
-PROHOUNCINQ AND CERTIFYING PHYSICIAN (Physician bJth pronouncing dealh and certifying to cause of death)
To"" bnt of my knowIltdg., death occurred at the Ume. dllte.and place, and due to the caUM(l) and mannera.stated..........................
34.